In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that ...

Understand the importance of Robust AI Risk Management for health care. Enhance efficiency while mitigating new risks.

Objectives: We assessed whether proactive care management for artificial intelligence (AI)–identified at-risk patients reduced preventable emergency department (ED) visits and hospital admissions (HAs ...

Delaying onboarding until FDA approval reduces sunk-cost risk but can impede institutional learning and slow post-approval ...

When catastrophic conditions aren’t treated as their own vertical, plans risk applying standard care or general case management models that lack the depth, coordination, and domain expertise required.

Are you interested in regulatory compliance and risk management jobs in the healthcare or business finance industry? Compliance-related jobs are one of the hottest growth areas in the U.S., with the ...

On October 4, 2024, the Department of Health and Human Services (HHS) published a proposed rule containing the 2026 HHS Notice of Benefit Payment Parameters and certain proposals related to the Basic ...

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to ...